Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alicia Jo Carrillo, LCSW

Individual provider Clinical Social Worker · NPI 1841901303

Alicia Jo Carrillo, LCSW is a Clinical Social Worker in Chubbuck, Idaho. Qualified in 2022, 4 years ago. Practices with Center Counseling LLC, a 15-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
4
Licensed in
ID
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

265 E Chubbuck Rd
Chubbuck, ID 83202-5055
Phone: (208) 237-1711
Fax: (208) 237-9806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 8911078 (ID)

Record details

NPI number1841901303
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 6, 2022
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Center Counseling Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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